The URL can be used to link to this page

Home My WebLink AboutSUBMITTED PAPERSS- I Date: Fee Due. Permit # Planning & Development Services ] _ _ _ Building & Code Regulations Division S'C,gN 2300 Virginia Ave. NFL . Fort Pierce, FL 34982 St �UC eY (772)462-1553 e Cnu17t� SPECIALTY PERMIT APPLICATION ❑ Electrical Plumbing ❑ HVAC ❑ Fence ❑ Shed ❑ Demolition ❑ Gas ❑ Siding Seepage l for instructions and additional paperwork required for specialty permits 1. Location/Site Address: "// a 9 a'.e k ✓� , w - 2. Parcel ID Number: 06n6 — do'-i—J Office Use Only Section Township Range Map Page Zoning Land Use Initials O� 3. Complete Description of Project or Work: �j� sn, /•/ (i-�"r, , Li.�.c 4. Owners Information 5. Contractors Information Name: / E v/'v FL Reg/Cert #: Address: 3 County Cert#: r City Zip: ('IC N 411L ti State: Business Name: Z v G o7� Phone:? �P 6one•77-i-y6✓-!9<? 6. Value of Construction: $ 17C'' Fax: OWNER'S AFFIDAVIT: I certify that all of the information contained in this ap lication is correct and that all work will be done in ;� / compliance with all applicable laws regulating co on and zo/ni�ng. /L u PRINT OWNER OR CONTRACTOR NAME SI URE OF OWkEROR CONTRACTOR: STATE OF FLORIDA, COUNTY OF �, ACKNOWLEDGED BEFORE ME THIS DAY OF 20 BY j WHO IS PERSONALLY TO ME OR WHO HAS PROD CED 2F2 rn p9T W AS I NTIFICATION. Z5. ► /� V seal) m m S ATURE OF N AR TYPE OR PRINT NA OF NOTAR \\ _o COMMISSION NUMBER NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 04/26/2010 NOTICE TO OWNER: FAILURE 1.. ,.,;CORD A NOTICE OF COMMENCEMENT MA _ _?SULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF, YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $5,000. INSTRUCTIONS Please complete all information in the space provided. All information must be printed (use black or blue ink only) or typed. This permit application is to be used only for those activities that are not otherwise included under a primary building permit. This application may not be used for any activity that includes structural alteration. The information to be provided with this application includes: 1. Location/Site Address 2. Parcel ID Number 3. Description of Project or Work Activity 4. Owner Information 5. Contractor Information 6. Value of Construction Indicate the street address or general location of property where the building activity is taking place. Indicate the tax identification number of the property where the building activity is taking place. Fully describe the activity to take place. Indicate the name and address of the owner of the property on which activity is taking place. Indicate the State of Florida registration number (if applicable), St. Lucie County contractor license number and the name of the business doing the work. Indicate the total value of the work to take place. Total cost of construction includes all current retail material and labor costs associated with the building/construction activity. Construction value is used to determine the permit fee. St. Lucie County reserves the right to question and/or modify the indicated value of construction if it is demonstrated that the submitted figures are not consistent with similar types of construction. ❑ Gas Attach 2 piping schematics with tank size,location, and BTU of each appliance ❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans, 2 anchor specifications ❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence ❑ Siding Attach 2 copies of manufactures specifications ❑ HVAC Attach 2 residential energy studies, 2 manual J calculations. 2 sets of duct layouts for new system or full replacement This application can be submitted to St. Lucie County Building and Zoning, 2300 Virginia Avenue, Fort Pierce, FL 34982. All permit applications must be filled out completely before submission. No applications will be accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772) 462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday. NOTE: Emergency electric service change out inspections will not be performed after 3: 00 PM without special arrangements and additional fee paid. Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261. WATER COMM SEWER RES METER SZ_ M/F IRR SECURITY DEP SERVICE FEE SAME DAY FEE OVERTIME FEE METER INSTALL. CFC/WATER FPUA CFC CFC/SEWER GUAR. REV. LATERAL $1 0 TOTAL ST. LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE FL 38982 NAME K-F t ' , ,,I J) I i % ' 0.1 C I ACCT. # i it SERVICE ADDRESS ,<`i i (J/" , (' P SUBDIVISION LOT BLOCK BILLING ADDRESS %L' �. 1'4,'C.A�r' HONE y Yj MOVE IN/CLOSING DATE This application hereby request and authorizes the Utility to render water and/or sewage disposal services to the premises described above in accordance with the Utilities present or future rates, rules and regulations, which by reference are made a part of this qontract Applicant agrees to pay the Utility promptly for such services in accordance with the established rules and regulations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. :USTOMER , 3IGNATURE 14ANIE OF SPOUSE 1 ," q j,) �i �.� SOCIAL SEC/, _ FED ID_ SPOUSE SOCIAL SEC. OFFICE USE ONLY DATE RECEIVED CASH >� %1 GL, RECEIVED BY ST LU'_IE UIILITI!S DEP 23M UIR6IHIA RUE FORT PIERCE, FL 34902 TERMINAL ID, 03054111 MERCHANT M; 425162443997 VISA 4#xxxxxxxxxxxx4203 SALE BATCH, 800182 INVOICE. 082048 DATE., JUL 26, 11 TIME.' 15:29 89s 967 AUTH N0; 025058 TOTAL $398.00 CUSTOMER COPY St. Lucie Count - PCIS 07-26-2011 63:28:49 11728 4028 6109 BIRCH�DR FORT PIERCE FL 34982 Amount Tendered: 390.00 Amount Paid: 390.00 Change Due: 0.00 Thank You User ID: WARM Property Appraiser - St.Lucie (Cminty, FL Page 1 of 1 PROPERTY RECORD CARD Kevin Divins Record: 1 of 1 <<Prev Next» Spec.Assmnt Taxes Exemptions Permits Home Print Property Identification IECO Site Address 6109 Birch Dr ParcellD 3402-609-0606-000-0 G Sec/Town/Range: 11:36S :40E Account #: 38101 Map ID. 34/11S Land Use: SF Res i` J Zoning RS-4 City/Cnty: St Lucie County Ownership and Mailing Legal Description Owner. Kevin Divins Virginia Divins INDIAN RIVER ESTATES-UNIT-08- BLK 68 LOT 36 (MAP 34/11 S) (OR Address: 2853 Haleys Hollow Rd 2410-2129) Glen Allen VA 23060-5246 Sales Information Assessment 2010 Final Total Land and Building Date Price Code Deed Book/Page 2010 Final: 71300 Land Value 13000 Acres: 0.29 11/4/2005 199900 00 WD 2410 / 2129 Assessed: 71300 Building Value 58300 2/5/1991 100 01 QC 0732 / 1112 Ag.Credit 0 Finished Area 1464 SgFt 7/1/1978 42500 00 CV 0291 / 0324 Exempt: 11/1/1977 2500 00 CV 0279 / 2106 Taxable: 8/1/1977 1600 00 CV 0274 / 2917 Taxes 1481.9 BUILDING INFORMATION Exterior Features View: RoofCover: SD - Dim Shingle RoofStruct: GA - Gable ExtType. HC- - HC- YearBlt: 1978 Frame Grade: C- - C- EffYrBlt: 1978 PrimeWall: BS - CB Stucco StoryHght 0010 - 1 Story No.Units: 1 SecWall: Interior Features BedRooms: 3 Electric: MX - MAXIMUM PrmintWall DW - Drywall FullBath: 2 HeatType: FHA - FrcdHotAir AvgHt/Fl. 1/2Bath, 0 HeatFuel: ELEC - Electric Prm.Flors: CU - Carpet %A/C: 100 %Heated 100 %Sprinkled: 0 Special Features and Yard Items Land Information Type Y/S Qty Units Qual. Cond. YrBlt No Land Use Type Measure Depth DWC - Driv-Concret Y 1 720 AV AV 1978 1 0100-SF Res 215 -Front Ft 100 125 FNW6 - WOOD FEN 6' Y 1 180 AV AV 1999 THIS INFORMATION IS BELIEVED TO BE CORRECT AT THIS TIME BUT IT IS SUBJECT TO CHANGE AND IS NOT WARRANTED http://www.paslc.org/prc.asp?prclid=340260906060000 8/5/2011